2019
DOI: 10.1080/15384047.2019.1598759
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Life and death of circulating cell-free DNA

Abstract: Tumor-specific, circulating cell-free DNA in liquid biopsies is a promising source of biomarkers for minimally invasive serial monitoring of treatment responses in cancer management. We will review the current understanding of the origin of circulating cell-free DNA and different forms of DNA release (including various types of cell death and active secretion processes) and clearance routes. The dynamics of extracellular DNA in blood during therapy and the role of circulating DNA in pathophysiological processe… Show more

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Cited by 357 publications
(327 citation statements)
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References 162 publications
(240 reference statements)
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“…cfDNA can be specifically used when tumor tissue is unavailable or insufficient for testing [212]. Liquid biopsy, intended to monitor cancer treatment responses has recently been considered to be a promising noninvasive cancer-related test that puts cell-free tumor DNA to use [213,214]. Moreover, cfDNA is now recognized as a biomarker of absolute novelty in cancer diagnosis.…”
Section: Circulating Free Dnamentioning
confidence: 99%
“…cfDNA can be specifically used when tumor tissue is unavailable or insufficient for testing [212]. Liquid biopsy, intended to monitor cancer treatment responses has recently been considered to be a promising noninvasive cancer-related test that puts cell-free tumor DNA to use [213,214]. Moreover, cfDNA is now recognized as a biomarker of absolute novelty in cancer diagnosis.…”
Section: Circulating Free Dnamentioning
confidence: 99%
“…When a cell dies, DNA is released into the bloodstream in short fragments (approximately 160bp, the length of a nucleosome) [7]. All people are thought to have a low level of cfDNA in their blood [8] [9]. In healthy individuals, cfDNA in the blood likely arises from normal cell turnover.…”
Section: Introductionmentioning
confidence: 99%
“…We hypothesize the difference could be due to the higher viral load seen in transplant patients and greater rate of production of longer CMV fragments or differences in the epigenetic state of CMV in different hosts or states of reactivation. Alternatively, changes in host immune pressure may affect the kinetics of cfDNA production and degradation, as different mechanisms of cell death may affect the length of DNA fragments released into the blood 36 .…”
Section: Discussionmentioning
confidence: 99%